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Organization

CENTER FOR POSITIVE CHANGES STAY

Active
Other names
First Step Treatment Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEANNA MELLOS (DIRECTOR)
(619) 248-0552
Entity
Organization

Contact information

Practice address
9671 KENORA LN, SPRING VALLEY, CA 91977-2902
(619) 741-8006
(619) 660-6604
Mailing address
9628 CAMPO RD STE M, SPRING VALLEY, CA 91977-1233
(619) 660-3886
(619) 660-3886

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
10/05/2018
Last updated
01/15/2019
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